NPI 1053658377

Benjamin Joseph Richter, PSYD

Practitioner Clinical Neuropsychologist Peoria, IL

Practice location

Address: 515 NE Glen Oak Ave Suite 101, Peoria, IL 61637-3167
Phone: (309) 655-7378
Fax: (309) 655-4609

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 071.008614 (IL)

Other Clinical Neuropsychologist providers in Illinois →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 4350 (AZ)

Other Psychologist providers in Illinois →

Registry record

NPI: 1053658377
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2013
Record last updated: 15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.